W ELCOME TO R ATEPAYERS V ICTORIA
 
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Statement of Purpose
Aim of Ratepayers Victoria
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Membership Application
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RATEPAYERS VICTORIA INC

MEMBERSHIP APPLICATION / RENEWAL FORM FOR 2009-2010

Joining/Renewal fee $20.00

Please return to P.O. Box 1057, Huntingdale 3166

 

I,

of

 

do now for membership of Ratepayers Victoria Inc

Membership Name    

 

 

In the event of my admission as a member, I agree to be bound by the rules of the Association, to pay annual membership dues as determined by the Association, to uphold the aims of the Association as expressed in the Statement of Purpose and to work cooperatively with the other members.

 

Signature: Date

                                                                                           

Member’s Contact Details   (Please PRINT clearly)

(All details are to ensure records are updated and will remain strictly confidential)

 

Current Postal Address 

Town/SuburbStateP’code

Shire/Municipality

Contact Name

Phone: BH:

AH:

Mob:

Fax: 

E.Mail:

 

 

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RATEPAYERS VICTORIA, Inc. A0040924M - PO BOX 1057 Huntingdale, Victoria 3166